Assignment-Topic 8 Assignment -Benchmark -Population Health Policy Analysis

Assignment-Topic 8 Assignment -Benchmark -Population Health Policy Analysis

 

Topic 8 Assignment

Benchmark -Population Health Policy Analysis

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

  1. Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it?
  2. To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?
  3. Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MS Nursing: Public Health

MS Nursing: Education

MS Nursing: Acute Care Nurse Practitioner

MS Nursing: Family Nurse Practitioner

MS Nursing: Health Care Quality and Patient Safety

2.1: Examine financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors.

2.2: Determine advocacy strategies for improving access, quality, and cost-effective health care for diverse populations.

4.2: Integrate appropriate state, federal, and global health policies and goals into the design of equitable health care for populations.

4.3: Examine the professional and moral obligation of master’s-prepared nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective.

 

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Solution

 

 

The Affordable Care Act

Introduction

The Affordable Care Act (ACA) is one of the most recent prominent healthcare policies that was designed to improve access to quality and cost-effective care among low-income earners and marginalized groups. The ACA was signed into law by President Obama in March 2010. The law, therefore, includes health care policies that are intended to extend health insurance coverage to a significant proportion of uninsured Americans (Glied & Jackson, 2017).This paper explains the Affordable care act and its role in improving the cost effectiveness and equity of healthcare access to the population. The paper also explores the state and federal policies related to the ACA and finally discusses the advocacy strategies that nurses can adopt to access the benefits of the ACA.

Explanation of the Policy and How It’s Designed To Improve Cost Effectiveness and Health Equity for the Population

The act sought to expand Medicaid eligibility to all mandated Americans, lower the cost of health insurance, created health insurance exchanges, and prohibited health insurance companies from denying coverage to individuals with pre-existing conditions. The ACA also allowed children to remain under their parents’ medical cover until they were 26 years (Courtemanche et al., 2018). The ACA was designed to reduce the cost of health insurance coverage for all the people that qualified. The act included cost-sharing reduction and premium tax credits to help lower the expenses of health insurance for lower-income individuals and families. The premium tax credits, therefore, lowered the health insurance bills for low-income families and individuals (McIntyre & Song, 2019). The cost-sharing reduction and premium tax credits included in the ACA, therefore, ensure that there is improved cost-effectiveness and healthcare equity across the population in the US and especially among the low-income and marginalized groups.

Though the ACA has been lauded for its impact on ensuring that a larger proportion of Americans access healthcare insurance, the policy has not achieved its intended financial goal. The central financial goal of the enactment of the ACA was to help reduce healthcare spending across the US by expanding prevention and management of chronic diseases programs and stimulating savings by reducing insurance administrative expenses and expanding the use of health information technology (Campbell & Shore-Sheppard, 2020). The ACA did not succeed in reducing healthcare spending in the US as statistics have indicated that health care spending across the US increased from 2.6 trillion in 2010 to 3.65 trillion in 2018. Compared to the share of the national economy, healthcare spending across the US grew from 17.3% compared to the GDP to 17.7% between 2010 and 2018 (Antos & Capretta, 2020). This indicates that the ACA did not succeed in reducing healthcare spending in any way. The continual increase in health care spending across the US despite the implementation of the ACA has been attributed to increased access to services for the newly insured families, expansion of coverage, and the introduction of a new treatment (Antos & Capretta, 2020).  However, despite the continued increase in health care spending across the US, the ACA cannot be labeled as financially sound.

The ACA accounts for many relevant ethical factors. The central goal in the US is to have an ethical health care system. The four fundamental goals that have shaped the US healthcare system include; quality, freedom of choice, affordability, and sharing (Campbell & Shore-Sheppard, 2020). The US population wants the quality healthcare that provides them with the greatest benefit and also provides freedom of choice to make all the decisions related to their health care. The US population also wants their healthcare to be affordable so that they can have adequate resources to fulfill their health needs and also wants all fellow citizens to share in the benefits and costs of the health care system (Campbell & Shore-Sheppard, 2020). The ACA was therefore formulated to address the fundamental goals of the healthcare system in the US that are central towards making such a system ethical.

To effectively respond to the ethical considerations related to the ACA, nurses must adopt the ethical principle of justice. Nurses have therefore realized that many health issues are deeply rooted in social injustices and that such healthcare professionals have a moral responsibility to take actions that support access and delivery of quality healthcare services (Campbell & Shore-Sheppard, 2020). Taking action can therefore help address the injustices related to access to healthcare services. The ACA seeks to establish a new norm of universal health insurance with a central belief that all people in the population deserve access to basic health care. In the implementation of the ACA, it is important that nurses and other healthcare professionals consider how the policy affects their role and try to rectify any instances of injustice in healthcare. Through education, practice, and interaction with diverse populations in society, nurses possess a clear perspective of what constitutes injustice in healthcare and which groups and individuals are most disadvantaged. By understanding how different conditions and contexts form and maintain barriers to access to healthcare, nurses and other healthcare professionals can work to break such barriers and address the issue of injustice in access to healthcare across the society (Glied & Jackson, 2017).

 

 

To What State, Federal, Global Health Policies Or Goals Is This Particular Policy Related?

The ACA is related to the healthy people 2020 federal goal of improving access to comprehensive quality and health care services (Heathypeople.gov, 2021). The ACA sets to improve access to quality and comprehensive health care services across the US by ensuring that a significant proportion of uninsured Americans access healthcare coverage. This population includes low-income and marginalized groups. The ACA provides affordable premiums that low-income and uninsured groups can afford every month for their health care coverage (McIntyre & Song, 2019).

Discuss The Advocacy Strategies You Would Employ On Behalf Of Your Population To Ensure They Have Access To The Benefits Of The Policy.

The central advocacy strategy that I would employ on behalf of my community to ensure that they have access to the benefits of the ACA is education. I would therefore target the low-income groups in my population with messages to sensitize them on how to enroll for health insurance coverage using the provisions of the ACA and the benefits that the ACA will bring to them. This would allow a large population of uninsured people to access healthcare resources in my community.

One of the central values of Christianity is to promote justice and equality across the world.  A Christian advanced registered nurse has a professional and moral obligation to advocate for justice and equality in access to health care services in the communities where they serve so as to promote health and prevent diseases. This role of advocacy for justice and equality should be more targeted to diverse and marginalized populations that are normally underserved when it comes to health care access.

Conclusion

In summary, the Affordable Care Act (ACA) is one of the most recent prominent healthcare policies that was designed to improve access to quality and cost-effective care among low-income earners and marginalized groups. The ACA therefore, includes health care policies that are intended to extend health insurance coverage to a significant proportion of uninsured Americans. Nurses must therefore adopt the ethical principle of justice to effectively respond to the ethical considerations related to the ACA and achieve the four fundamental goals that have shaped the US healthcare system including: quality, freedom of choice, affordability, and sharing.

 

References

Antos J.R., & Capretta, J.C., (2020). “The ACA: Trillions? Yes. A Revolution? No., “Health

            Affairs. https:doi.10.1377/hblog20200406.93812.

Campbell, A., & Shore-Sheppard, L. (2020). The Social, Political, and Economic Effects of the

Affordable Care Act: Introduction to the Issue. RSF: The Russell Sage Foundation Journal of the Social Sciences, 6(2), 1-40. HTTPS:doi.10.7758/rsf.2020.6.2.01.

Courtemanche, C., Marton, J., Ukert, B., Yelowitz, A., & Zapata, D. (2018). Effects of the

Affordable Care Act on Health Care Access and Self-Assessed Health After 3 Years. Inquiry : a journal of medical care organization, provision and financing55, 46958018796361. https://doi.org/10.1177/0046958018796361.

Glied, S., & Jackson, A. (2017). The Future of the Affordable Care Act and Insurance

Coverage. American journal of public health107(4), 538–540. https://doi.org/10.2105/AJPH.2017.303665.

Heathypeople.gov (2021). Access to Health Services Overview. Retrieved from:

https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services on 03/05/2021.

McIntyre, A., & Song, Z. (2019). The US Affordable Care Act: Reflections and directions at the

close of a decade. PLoS medicine16(2), e1002752. https://doi.org/10.1371/journal.pmed.1002752.